| Organization Name: | CONNIE MORRIS, CRNP, LLC |
| NPI Number: | 1386069284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE JO MORRIS (OWNER/FAMILY NURSE PRACTITIONER) |
| Mailing Address: | 13106 Winchester Rd Sw Ste 100 Lavale |
| State: | MD US |
| Postal Code: | 215026035 |
| Phone Number: | 2403627249 |
| Fax Number: | 2403627285 |
| NPI Enumeration Date: | 02/28/2014 |
| NPI Last Update Date: | 02/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | R088399 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |